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Provider Enrollment and Credentialing Coordinator

2 months ago

Spring, Texas, United States Visualutions, Inc. Full time
Provider Enrollment and Credentialing Coordinator

The Provider Enrollment and Credentialing Coordinator is essential in overseeing the credentialing and enrollment procedures with precision. Key responsibilities encompass enrolling new healthcare providers, managing CAQH profiles, conducting audits of payer directories, and ensuring adherence to HIPAA regulations. This role demands exceptional communication abilities and collaboration with diverse stakeholders.

Key Responsibilities:

  • Facilitate provider enrollment with various payers
  • Accurately complete enrollment applications
  • Maintain and update provider information in relevant databases
  • Oversee CAQH profile management
  • Work collaboratively with internal teams and external clients
  • Conduct audits and revisions of payer directories
  • Ensure accurate maintenance of provider data

Required Qualifications:

  • 2-4 years of experience in the credentialing field
  • Prior experience in the healthcare industry is essential
  • Proficient in CAQH, NPPES, and PECOS systems
  • Meticulous attention to detail
  • Strong verbal and written communication skills
  • Able to work independently as well as part of a team

Preferred Attributes:

  • Determination and a proactive approach to inquiries

Employee Benefits:

  • 401(k) plan with employer matching
  • Comprehensive health, dental, vision, disability, and life insurance coverage
  • Flexible spending account options
  • Employee assistance programs available
  • Flexible scheduling and paid time off

Work Schedule: Dayshift